It takes much more than a commitment to provide quality patient care to create a successful dental practice. Very significant—and often behind the scenes—are the administrative functions that help deliver a consistent flow of patients and ensure smooth patient experiences. From the initial verification of a patient’s insurance coverage to the coding of a dental procedure to the posting of payments and the resolution of an insurance claim denial, a tremendous amount of administrative work goes into creating the seamless patient experience that all dental practices strive for.
Dental practices are facing increases in their overhead cost, as well as staffing challenges, and are exploring the option of using Dental Billing Outsourcing Services USA for streamlining their workflow processes, reducing their error rates, and increasing their profits.
This post is designed to help readers understand what dental billing outsourcing means, why it is a necessity for every modern dental practice, and how partnering with a trusted business like Skyview Business Solutions can radically improve the financial health of their practice.
What Is Dental Billing Outsourcing?
Dental billing outsourcing is the practice of outsourcing your revenue cycle—i.e., insurance verification, claim submissions, posting payments, denial management, and coding—to certified professionals who are well versed in the relevant codes, policies, and regulations such as HIPAA. This allows clinics to use their in-house staff only for patient care while delegating the work to third-party billing experts that specialize solely in healthcare coding and billing within the U.S., allowing for greater accuracy, decreased timeframes, and constant cash flow.
Because you’ll be able to free up administrative burdens from your office, you will be able to focus more on providing quality care to your patients. You will also have access to qualified billers who are trained and continually educated on payer guidelines and compliance regulations.
The main components of dental billing outsourcing are as follows:
– Insurance verification and pre-authorizations
– Encounter coding and documentation that is ready for an audit
- Claim submission and claim tracking
- Denial management and appeal processing
- Payment posting/reconciliation
- Patient statement/billing inquiries
- Compliance monitoring and financial reporting
When you have the right outsourcing partner, you will save time and improve overall profitability by reducing the number of claims that are rejected and increasing your speed of reimbursement.
Why Dental Billing Outsourcing Is Growing in the USA
Throughout the United States, dental practices are choosing dental billing outsourcing services due to numerous reasons:
1. Billing and coding complexity is increasing.
Due to the constant change of documentation requirements as established by insurance companies, an employee will make mistakes if not properly trained regularly. Access to a company that specializes in medical billing and coding is essential for the accuracy of claims submitted to ensure that you receive maximal reimbursement from your insurance providers.
2. Staffing Issues.
There is often a high turnover rate for dental clinics, coupled with a lack of education and training on billing and frequent absenteeism. Outsourced billing takes away the responsibility of maintaining a billing team and provides an uninterrupted, consistent billing process.
3. Improved Cash Flow.
An efficient billing process will decrease the amount of time it takes to receive payment or collect on claims from patients. This is critical for any practice predominantly reliant on insurance reimbursement; because of the access to Medical Claims Submission Experts, USA, you are able to maximize all facets of your revenue cycle.
4. Decreased Overhead Expense.
Recruiting, training, and retaining a full-time billing staff is expensive. The costs associated with the following are eliminated when utilizing an outsourced company: payroll, software and technology, infrastructure, and benefits.
Overall, outsourcing is a financially sound option for dental offices of any size.
Want to eliminate billing stress and accelerate revenue? Contact Skyview Business Solutions today to learn how our Dental billing Outsourcing services USA can transform your practice.
How Dental Billing Outsourcing Works
Outsourcing your dental billing can seem difficult, but the goal is always to make it as simple and efficient as possible. Here is an overview of Skyview Business Solutions process for outsourcing dental billing:
Step 1 – Analyze Your Current Billing Process
When analyzing your current billing process, the team will then review your existing workflow, identify any areas that may be slowing down the process, and develop a customized solution for your practice.
Step 2 – Verify Insurance Coverage
Prior to patient visits, all insurance coverage, eligibility, and pre-approval status will be verified. This eliminates delays in processing claims due to lack of verification.
Step 3 – Ensure Proper Claim Coding
The dental procedures performed by your practice will be coded according to the current CDT and ICD-10 standards. The team at Skyview has the expertise in healthcare coding and billing in the USA to ensure compliance with federal regulations and to accurately submit claims.
Step 4 – Submit Claims
Your dental office can rest assured that its claims will be submitted within 24 to 48 hours of rendering services, thereby minimizing the average time from the date of service until payment is received.
Step 5 – Post Insurance Payments
When payments are received from both the insurance company and the patient, they will be accurately posted to the correct accounts right away.
Step 6 – Denial Management
The denial management team will review all claims that are denied, work with the related insurance company to resolve any issues, and resubmit those claims within the shortest possible timeframe.
Step 7 – Receive Reports
The practice owner will receive regular financial reports that will inform him or her of revenue production, outstanding claims, and ways to improve performance. Overall, this approach creates a clear path to maximum revenue capture with complete transparency and accountability.
Why Skyview Business Solutions Leads the Way in Dental Billing Outsourcing
Selecting the ideal outsourced business partner is of utmost importance; this is where Skyview Business Solutions excels with its experience in this field, as well as unwavering reliability combined with an ongoing commitment to maximizing your revenue.
Here’s why Skyview is considered a leading source for quality dental billing and coding services in the dental community.
✔ Highly Experienced Billers & Coders
Their team of experienced medical billing and coding specialists has the ability to code all of your claims accurately and in compliance with all regulatory requirements.
✔ Quick & Timely Submission of Claims with Associated High Rates of Approval
Skyview is your dedicated medical claims submission team for the USA, working diligently to submit claims as quickly as possible to avoid unnecessary delays and reduce the number of claims that are denied.
✔ Easy Integration with Your Software Program
Skyview integrates seamlessly into your practice’s current workflows, regardless of whether you are using Dentrix, Eaglesoft, Open Dental, etc.
✔ Customized Solutions Tailored to Your Specific Practice Needs
Skyview recognizes that every dental practice is different, which is why their custom marketing strategies are created based on your individual goals, number of patients, and the way your practice operates.
✔ Complete Support & Service Without All the Staff-Related Expenses
Skyview provides access to a complete team of professional billing experts at a fraction of the cost associated with hiring, training, and maintaining staff for this service.
Struggling with denied claims or delayed payments? Reach out to Skyview Business Solutions for reliable Dental billing Outsourcing services USA and boost your revenue effortlessly.
Major Benefits of Outsourcing Dental Billing
1. By using accurate documents, coding correctly, and submitting on time, dental practices will see instant improvements to cash flow.
2. Your internal staff will have more time to focus on patient interaction, scheduling appointments, and providing high-quality treatment rather than doing lots of paperwork.
3. Experts who specialize in billing and coding are continually aware of what’s happening in the insurance market, helping to eliminate the typical mistakes that cost dental offices tens of thousands of dollars each year.
4. Patients will enjoy the seamless billing process and appreciate being able to communicate clearly about their bills when they are consistent and transparent.
5. Skyview provides the ability to have your claims comply with HIPAA regulations and insurance company requirements, allowing your practice to be ready for an audit and stay compliant.
How Dental Billing Outsourcing Helps Small, Mid-Sized, and Large Practices
Outsourcing has benefits for medical practices of all sizes.
Small Practices
To limit the expense of billing staff, a small practice can outsource the billing department entirely.
Mid-Sized Practices
Outsourcing is a proven method of ensuring reliable billing performance and provides an avenue for continued growth.
Large Practices & Multi-Location Clinics
Outsourcing creates a central billing location and provides consistency in billing performance among various offices. Whether you’re a small, mid-sized, or large practice, outsourcing can ensure your continued growth and long-term financial success.
Ready to optimize your revenue cycle? Book a free consultation with Skyview Business Solutions—your trusted partner for Healthcare coding and billing USA.
Why Dental Billing Outsourcing Is Essential in Today’s Healthcare Landscape
As the complexity of insurance policies expands and the number of regulatory changes and operational issues in the dental practice continues to grow, dental billing is no longer just something that you do; it’s a critical piece in achieving your financial success. By utilizing inefficient management of dental billing, practices may experience:
- Increased claim denials
- Decreased revenue
- Compliance-related risks
- A higher likelihood of staff burnout
- Lower levels of patient satisfaction
As such, many practices around the United States have begun to view Dental Billing Outsourcing Services USA as an ongoing strategy versus a “band-aid.” In addition to enhancing the financial health of your practice, outsourcing services provide your team more time to focus on patient care—the key to the overall success of any dental practice.
Final Thoughts
Dental practices are evolving at an unprecedented rate. Outsourcing has become an advantageous means to achieve both operational efficiency and financial gain. Knowing what dental billing outsourcing is & how it impacts your clinic, you will remain competitive, profitable, and patient-centered.
With Skyview Business Solutions as a partner, your dental practice has access to a team of specialists that excel in medical billing & coding, medical coding services, and healthcare coding & billing. Together, they will help you improve the effectiveness of your revenue cycle.
If your dental clinic wants to overcome billing issues, increase its revenue, or provide the most efficient procedures, outsourcing your dental billing is the smartest step towards success.